Skip to Main content Skip to Navigation
Master Thesis

Utilisation de la CRP rapide dans la prise en charge des enfants consultant pour fièvre aux urgences pédiatriques du CHU de Bordeaux. Évaluation et perspectives

Abstract : Fever is a frequent reason for consultation in pediatric emergencies. Physical examination is not always sufficient to determine the cause of the fever Additional testing for blood inflammation can be necessary to avoid missing diagnosis of severe bacterial infection. C-reactive protein is an inflammation marker that has proven useful in case of fever. Our study evaluated the use of capillary CRP point of care testing (POCT) in the management of children consulting for fever. This study took place in the pediatric emergency department of Bordeaux University Hospital over two 7-week periods between September 2019 and March 2020. A questionnaire was completed each time CRP POCT was used. 187 questionnaires were completed out of 580 CRP POCT conducted. Medical management was modified by CRP POCT in 62% of cases. In case of low CRP, the risk of severe bacterial infection can be ruded out and there will be no additional examinations, which enables an earlier discharge. On the contrary, in the event of a higher CRP, additional testing will be necessary to investigate potential bacterial infection. In view of our results, we suggest an update of the recommendations for the use of CRP POCT and a management algorithm including CRP POCT for children over 3 months consulting with fever without a source.
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03291974
Contributor : Médecine Ub Connect in order to contact the contributor
Submitted on : Tuesday, July 20, 2021 - 9:13:22 AM
Last modification on : Saturday, August 28, 2021 - 3:12:31 AM

File

Med_Spe_2021_Paccalin.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03291974, version 1

Collections

Citation

Mathilde Paccalin. Utilisation de la CRP rapide dans la prise en charge des enfants consultant pour fièvre aux urgences pédiatriques du CHU de Bordeaux. Évaluation et perspectives. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03291974⟩

Share

Metrics

Record views

24

Files downloads

27